99-103866%1 I Y -47f FEDERAL WAY
33530 F=irst Way South
Federal Way, WA 98003
259--661.-.4000
Mechaiiic.al Insper„tiori He(4Lie stW 253-611•_4140
ADiRES 5:34503 9'FN AVE S
NO.: 7.50451-w0050
PROJECT DESCRIP-HON:HYAC - TO FINAL MEC97-0213, Phareacy new diffuser and ductwork
OWNERM�,n =.a��z.•�u, x��,£� :.�
ST FRANCIS PHARMACY
34505 9TH AVE S
ffDLRAL WAY NA 98003
838-9000
CONTRACTOR = ..x. LE
MACDONALD HILLER
7717 DETROIT SH /r
SEATTLE EIA 98306 . �
206.763-9400
ern=taar:.rm:'::- x'xics+IFE.: •-:q
ONTRAC . Pl f t 1 ttCllT 1 :.. 3 : `
PROJECT VALUATION 1 7339
FUEL TYP€S.:Gi FANS..... fiS ES
GAS PIPING.: 0 t HOOD....... `' T O
FURN;IOOK,.: 0 I}KT WORE', `• T
GAS NWT....: 0 HOOD STOP
CONY BURNER: 0 f UgPlt#4.
GAS DRYER..: 0 AIR HAHN, I Fti t TAR# ;
RANGE....... 0 I0,OvO Aff'!E 40OUND: 0
GAS LOESS...: 0 0 UNDERGROUND.: 0
mss U=4:-
RE
ar :_:_._RE11K SALES TAX
PERMIT OIrt: M� ;
ISSULD: 10/C-" ry ti
13Y : i C.'
CX..PI Ela: 04/01/00
CH PEfiMCT FAcfiMCT FLt.
TOTAL FEES $ 50.00
<..:W.tti:nG.3FdF.'3CkY'.71I:S:LLI:Y.".tL:"1iDg5:.
N'i=... 1� I:1S4F.. '::S-" VM.:C. :":1-RUlAz Z:G. ....c...;:... N, '7..:a:: . r..-.f...R
.C4:.«U....4N>r'L'S:.XTI:Y•LMYV. =t.A£.1`3:R:::Y.C..,^.�?C£ii::LtX1A3:At4':1:Y1.'I
Does the vatef supply
systes contain a Pressure
Reduction Device or
Check valve' () Yes ()
No (If "Yes' then cater expansion tank is required on Hot Hater Tank)
Inspection Record:
Mechanical Rough -in .__ _
�.� _ Date __,-_-_a
-- Gas Piping
Date
HICHANICAL FINAL _ .� Date
S GikTA:: fGRa. R ".Ha.l... TiMC1uF7L=V4MAa+l£a_a'-•!a£ _c........'4'......... ...4C£nRCLO.......a.
PERMITS EXPIRE 190 DAYS AfIER ISSUAiKE IF 00 ikft IS STARTED.
I CERTIFY INE INFORPATION 1URNISNEB BY NI IS lft% AANDD (OARECT TO INE ZEST Of NY tMOY EBU AND THE APPLICABLE CITY it FEDERAL MAY REQUIREMENTS WILL Bi' NET.
iWNEP OR AGENT ..--�"""
'� .�� x DATE _D' — ..
FIELD COPY
Page No. 1
FEES FOR CASE NO.: MEC99-0339
ST FRANCIS PHARMACY
34503 9TH AVE S
(This is NOT a receipt)
12/27/99
Case Fee Fee Account Fee Amount Receipt Check Date Rcd
# Description Type Number Amount Paid # # Paid By
---------- -------------------- ----------------------------------------------- ------ -------- ---
MEC99-0339 MECH PERMIT FEE 8004 001-0000-0000-032 50.00 50.00 02-39812 6759 10/05/99 KLC
2-0010-0001 --
Total fees: ......... $ 50.00 r/
- Payments: ......... $ 50.00 1'e,(
Balance due: ........ $ 0.00 alvw
6q vWilt'ro"
�G
�b�
CITY40F FEDERAL_ WAY 1 10,
33530 First way S o u t r, �r� ';.: M „;` ,,.� '° Vit„ .: <,.` es L... F..,a E`."rlll �.�f,� .1, 1....
Federal Way, WA 98003 Mechanical Ir),8peclLiori Requests 253 661--4140
253,-661--4000
ADDRESS:34503 9T{ -I AVE S
NO.: 750451-0050
PROJECT DESCRIPTION:HVAC - TO FINAL MEC97-0213, Pharmacy new diffuser and ductwork
PERMIT NO: MEC99-0339
ISSUE=D. 10/0/99 .
BY. FC
EXPIRES: 04/01/00
_= OWNER __________________________==______________________--
CONTRACTOR=____-_-______=_-____
=___=_________________�= LENDER
ST FRANCIS PHARMACY
MACDONALD MILLER
34505 9TH AVE S
7717 DETROIT SW
FEDERAL WAY WA 98003
SEATTLE WA 98106
838-9000
{ 206-763-9400
MACDOM*24839
S#*
CONTRACTORS, PLEASE USE
LOCATION CODL 1.7S2 9HEN REPORTING
-------------
SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE :
8.25 sts
f PROJECT VALUATION
7339
FEES:
FUEL TYPES.:GAS ?
FANS.........., D
BOI r ,�r^r�:arcr^�
MECW PERMIT FEE
$ 50.00
GAS PIPING.: 0 ft
HOOD........: 0
..
2
FURN<100K..: 0
DUCT WORK.....: 1
3 : TOK 0
GAS NWT....: 0
WOOD STAVES.,.: 0
i5-,:3 TPN
I
CONV BURNER: 0
FURN)100K ... : 0
30-50 Tu" 0
BBQ0
MIS . 1
50+ 'OF.. n
GAS DRYER..: 0
AIR HANDLING UNITS
--------
FU:! TANKS ---------
RANGE......: 0
RANGE ......
<:10,000 CFM: 0
ABOVE GROUND: 0
; GAS IOGS..,: 0
> 10,000 CFM: 0
:NDERGROUND.: 0
TOTAL FEES
$ 50.00
Does the water supply system contain a -Pressure Reduction Device or Check valve? ( ) Yes () No (If "Yes" then water expansion tank is required on Hot Water Tank)
Inspection Record: Mechanical Rough -in ................. Date ---------- Gas Piping ---------------- Date
MECHANICAL FINAL Date
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.
I CERTIFY THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT
FILE COPY
DATE
,:jry or-�— 33530 Firs; Way South �tr}�<,
(—�— — Federal Way, WA 98003
\\\\ I �-� (206)601-4000
APPLICATION FOR MECHANICAL PERMIT
i��sl-QoI�
PARCEL It Sin Ia�mil�"IVE�rD'lu(ti-Famil ❑
9 1 1 y Commercial
CR�� M .Gj7-a�rl, RevIOU5 Hec R�tzMlT�CT 0 5199E
SITE LOCATION:
1 F FEDERAL WAS
Tenant/Owner: Sc='�J M U0 1ca�R�'T• Phone,.
G-T14 L -.lit.
F -i i//�CJ 'rZ . A IiJ GU GYWD Q.K.
Nature o. work: Valuation: S
APPLICANT
Name: �.���[%Gi—���---•hiIl��� n
Address/City/st/-Zip: -7:71 �r D ! '�� � IY A• ��> 0(10 —1!" D5;
Contact Person: glzJ I� -h� ��� Phone:
NlECHAk'JICAL CONTRACTOR:
cmpany ,a: ,_.
Address/city; st�Z p: -7717 ISI i
�,ontact , Person: hcn e. Fax:
State L ( Contractor Regictraticn T: �\� ri"t� �(1�C Exp. Daze: t �QQQ
;Card mus; be Olt
sentca)
MECHA,`:ICAL UNIT COUNT:
Fuel Type (gaslother)
Gas Dryer
Air Handling <
= IO,OCLocfm
4 Fuel Tanks:
Length of gas piping
Range
( Air Handling >
= 10,OCGcfm
I .. ,above Ground
Furn <100K BTU's
Gas Log
Unit Hester
( Underground
Furn >I OOK BTU's
Fans
sailer
BTU/ !
Miscellaneous
Gas Hwt
Hood
Sailer
BTUi`H
Other
Conv Burner
Duct Work
A/C
TONS
other
01SC—%IMER: 1 certify undo pouirY of PoiL" CK.( the by m. i. ts- .rd eotr.ct to Cte twit of my hrthor Ct.( I r &I-tz d by 7t. -- of th. .bey.
Memim— to pordotm tha work foe which pe(mit apc4..d- 6. mala, t furtttur -Cr— to .ay. harm{— th. Goy of F.da.i.W.y r to any d lim r'rd•'Wirt coat., .xp.n.e ".homey.' fee.
4+c srad 'wt lm—tic-(I rt and df— of —h calm), wNeh m.y ba mads try arty pa•.ort, kdudkip ttw underapned, rd riled K1•ir.t vw G`ty of Fad.ray W.y but orly what. wdt d.:m -1--
-K of tt+a rdi.nca of ttw City, 6ndudiN h1 e(fi— and .mo4oyoed yjwort dt . vxIIcr of ttt. 611onn.don .upc'iod to ttw City r . P•c% of ihr..pgr—don. 1 -
Owner/Agent:— � 4 Date: ��